Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
111. `' COMMUNITY DEVELOPMENT Permit#: FPS2017-00133
T 1 C;+1.P D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/22/2017
Parcel: 1S126CB00500
Jurisdiction: Tigard
Site address: 9300 SW WASHINGTON SQUARE RD
Project: Macy's Subdivision: None Lot: None
Project Description: Fire Sprinklers-Adding and relocating(5)sprinkler heads in the bridal department on the second floor. Affidavit
submitted.
Contractor: WYATT FIRE PROTECTION INC. Owner: MACY'S DEPARTMENT STORES INC
9095 SW BURNHAM ATTN:TAX DEPARTMENT
TIGARD, OR 97223 7 WEST SEVENTH ST
CINCINNATI, OH 45202
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/22/2017 $64.54
12%State Surcharge-Building 08/22/2017 $7.74
Type of Use: COM Plan Review-Fire Life Safety-COM 08/22/2017 $25.82
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 08/22/2017 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD2
Density: .15 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $98.60
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,000.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
AIM --
Issued By: Permittee Signature: i•-F'
Call 503.639.4175 by 7:00 a.m.for the next available inspection-date
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System`� FOR OFFICE USE ONI.\'
City of Tigard LCL Received
III - Date/B : 1 �Yir Permit No.: l '
13125 SW Hall Blvd.,Tigard,OR 97223 rr 2 q )n iiii �r 7�Gt;/3
Phone: 503.718.2439 Fax: 503.598.196AU u 2 L U,7 Plan Review
Date/B Other Permit:
TIG ARD Inspection Line: 503.639.4175 Date Ready/By: ® Page
Internet: www.tigard-or.gov p�CITY OF T}}IGARDp Notified/Method: Supplemental Information
,� BuILDI �G DlviS1ON i
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
,. CATEGORY OF CONSTRUCTION work indicated on this application.
ID1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
x " JOB SITE INFORMATION AND LOCATION , / Total number of floors:
Job site address:9300 SW Washington Square Rd(2nd Floor) New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Macy's Bridal Wash Sq Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA.COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
,� DESCRIPTION OF WORK r4.. work indicated on this application.
Add/relocate heads as required for TI Valuation: $$1,000.00
Existing building area: square feet
New building area: square feet
3 ❑ PROPERTY OWNER , r a`,,
� 0 TENANT , Number of stories:
Name: Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
" APPLICANT ® CONTACT.PERSON
R NOTICE,
Business name:Wyatt Fire Protection All contractors and subcontractors are required to be
Contact name:Max Colley licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:9095 SW Burnham St jurisdiction in which work is being performed.If the
City/State/ZIP:Tigard,OR 97223 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)684-2928 Fax: :( )
E-mail:m.colley@wyattfire.com
,. .. CONTRACTOR
` � ;x BUILDING PERMIT.FEES*.:
Business name:Wyatt Fire Protection (Please refer tojeeschedule)
Address: Permit fee:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal.)
CCB lic.:64077 Total permit fees: II 1/. "fill
Authorized signature: /' Amount received:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Max Colle Date:8/17/17
* Fee methodology set by Tri-County Building Industry
Service Boand.
I:\Building\Permits\FPS-PermitApp_0310i6_doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
El New system Number of sprinkler heads: 5 Number of alarm devices:
Z Addition or Z 1-10 heads: Affidavit required and [] 1-5 devices: Affidavit required and
Alteration (3) copies of sketch showing area (3) copies of sketch showing area
to existing of work within building structure of work within building structure
system
El 11+heads: Plan review required and LI 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Tfpiof System (Complete applicable); #
40, -
A*1.) Commercial Sprinkler
Sprinkler Type Z Wet 0 Dry
Additional Standpipes
Information: Sprinkler Supply Line El Yes LI No
Hazard Group Ordinary II
Density 0.15
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 1000
B,)1,Type I- Hood Fire StiftpreSsibti System
Hood Project Valuation: $
Fie_ Alarn
Submittal shall Battery Calculations LI Yes
include: Individual Component E] Yes
Cut Sheets
Fire Alarm Project Valuation: $
D) Residential Sprinkler §ysein
. „ 4 Ej *kt qi kg 444 - 0 4 04
Square Footage: Permit Fee: • 4", 3;17 V3*. '3, 13
0 to 2,000 $198.75 1645
2,001 to 3,600 $246.45 t
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal(see A,B &C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $
FLS Plan Review(40%of permit fee): $
TOTAL: $
W.\Max\1112 PERMIT APPLICATIONS\Tigard App.doc 2
City of Tigard Permit No.: 07017-6,-;)/3
1111 I 13125 SW Hall Blvd.,Tigard,OR 1' "'a a V .. TS
Phone: 503.718.2439 Fax 503.5 .. a'11 Date Received: 34 ,2?-//7
T I G A Et D Inspection Line: 503.639.4175
Internet: www.tigard-or.gov n U r. 2 2 2nll 17 By: G0/�-eA ^, �`t
71-
FIRE SPRIl IM GeVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Macy's Bridal Wash Sq Occupancy:
Job Address: 9300 SW Washington Square Rd (2nd Floor) Type of Construction:
Suite:
Contractor: Wyatt Fire Protection Phone: 503-684-2928
Number of Proposed or Altered Heads: 5
Type: SSP-SR Hazard:Ordinary Density:0.15
I, Max Colley, Wyatt Fire Protection Oregon Construction Contractors Board No. 64077
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers in a light-hazard occupancy.
b) Positions of sprinkler heads relative to architectural features such as soffits,beams,partitions,walls, etc.
complies with current adopted edition of NFPA 13.
c) The proposed work does not require hydraulic calculations.
d) Only one sprinkler head will be installed from one drop(exception: up to two heads from one drop may be
installed when each head is in a separate fire area).
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
f) Tenant improvements in a new building shall be equipped with Quick Response heads (see 2002 NFPA 13,
Section 8.3.3.1 for exceptions).
g) The installation shall comply with the requirements of the current adopted edition of NPFA 13.
h) Piping shall not be concealed until hangers and bracing are inspected.
i) Final approval shall be subject to onsite tests and inspections.
In addition, I understand the following is required:
• Submit(3) copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• A copy of this document with a copy of the sketch attached shall be available for all inspections.
Signature: Date: 8/16/17
Print Name: Max C
I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9300 SW WASHINGTON SQUARE RD, TIGARD, September 7, 2017 at
OR, 97223 10:24:11 AM
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00133
Inspection Type: Inspector:
999 Sprinkler final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor